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Fermented foods (such as tempeh), nori, spirulina, chlorella algae, and unfortified nutritional yeast cannot be relied upon as adequate or practical sources of B-12.39,40 Vegans must regularly consume reliable sourcesmeaning B-12 fortified foods or B-12 containing supplementsor they could become deficient, as shown in case studies of vegan infants, children, and adults

Now, while injectable B12 is generally very safe, it is important to be aware of potential side effects

The FDA has flagged concerns about immunogenicity and about peptide-related impurities in unregulated products

Anything drifting outside of that can be very uncomfortable for swimmers and equipment

If the muscles are not functioning optimally, the CCL is forced to handle excessive loads, making it prone to damage